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"documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Acta Otorrinolaringol Esp. 2004;55:452-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4312 "formatos" => array:3 [ "EPUB" => 25 "HTML" => 1410 "PDF" => 2877 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "El olfato y sus receptores. la historia de un nobel" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "452" "paginaFinal" => "456" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Mullol I Miret" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Mullol I Miret" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651904785532?idApp=UINPBA00004N" "url" => "/00016519/0000005500000010/v1_201304231413/S0001651904785532/v1_201304231413/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "El implante coclear en adultos postlocutivos con hipoacusia progresiva" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "457" "paginaFinal" => "462" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.J. Padilla Romero, M. Sainz Quevedo, C. Roldán Segura" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M.J." "apellidos" => "Padilla Romero" "email" => array:1 [ 0 => "manopa@teleline.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Sainz Quevedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Roldán Segura" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio De Orl. Hospital Universitario Virgen De Las Nieves. Granada" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio De Orl. Hospital Clínico San Cecilio. Granada" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "a" "correspondencia" => "Manuel Jesús Padilla Romero. C/ Casería del Cerro nº 64 Bloque 1- 4ºC. 18013 Granada" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cochlear implant in postlingual adults with progressive hearing loss" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-03-22" "fechaAceptado" => "2004-10-02" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec80535" "palabras" => array:4 [ 0 => "Implante coclear" 1 => "Adultos postlocutivos" 2 => "Hipoacusia progresiva" 3 => "Sordera postocutiva" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec80536" "palabras" => array:4 [ 0 => "Cochlear implants" 1 => "Postlocutive adults" 2 => "Progressive hearing loss" 3 => "Postlocutive hearing loss" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar los resultados obtenidos con el implante coclear (IC) en pacientes adultos con hipoacusia profunda postlingual de instauración progresiva del Hospital Clínico San Cecilio de Granada y valorar el papel de determinadas variables en dichos resultados</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo de 42 pacientes adultos con hipoacusia profunda postlingual de instauración progresiva implantados con un dispositivo Medel C40+ y con estrategia de codificación CIS+. Para valorar la percepción auditiva se utiliza el Protocolo para la valoración de audición desarrollado por la Universidad de Navarra. Se valoran en el preimplante, a los 3 meses, 6 meses, 1 año y 2 años postimplante. Como variables independientes se utilizan variables relacionadas con el paciente en sí (edad, sexo, edad de implantación, minusvalías asociadas), con su hipoacusia (causa, duración, osificación coclear, edad de comienzo) y con el implante (complicaciones, electrodos activados). Análisis estadístico utilizando el programa SPSS</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En todos los test de percepción auditiva se apreció una mejoría significativa (p<0,01-t Student apareadas o test Wilcoxon) entre preimplante, 3 meses y 6 meses. Posteriormente la diferencia deja de ser estadísticamente significativa. Encontramos diferencias significativas entre grupos, según el porcentaje de vida con hipoacusia, el porcentaje de vida sin funcionalidad de los audífonos, la presencia o no de osificación coclear y el nº de electrodos activados. Pero esta diferencia fue estadísticamente significativa sólo en la valoración de 3 meses (p<0,05-t Student independientes o test Mann-Withney)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Estos pacientes obtienen un gran beneficio del implante en un corto período de tiempo y los que presentan circunstancias más desfavorables presentan una evolución más lenta pero un resultado final similar</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analize the results of patients with cohlear implants in postlingual adults with progressive hearing loss and to analize various predictive factors</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Prospective study of 42 patients with profound and progressive hearing loss. We analized the outcomes in the first two years of follow-up. We examined the results in regards to the of age at time of implantation, other handicaps, cause of hearing loss, age of onset, cochlear ossification and actives electrodes. We use the logo-auditory protocol developed at the University Spanish of navarra</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All tests presented a significative improvement in the first six months (p<0.01 Student t or Wilcoxon test). After six months the results were not statistically significant. The more important predictive factors were percentage of life with hearing loss, percentage of life with profound hearing loss, cochlear ossification and actives electrodes thus the significancy was more relevant at a follow-up period of 3 months (p<0.05 Student t or Mann-Withney test)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">These patients showed clear benefits in a short period of time and the patients with unfavourable circumstances had a more slow progression but a similar final outcome</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Journal Information
El implante coclear en adultos postlocutivos con hipoacusia progresiva
Cochlear implant in postlingual adults with progressive hearing loss
M.J. Padilla Romero
, M. Sainz Quevedo**, C. Roldán Segura**
,a
Corresponding author
manopa@teleline.es
Manuel Jesús Padilla Romero. C/ Casería del Cerro nº 64 Bloque 1- 4ºC. 18013 Granada
Manuel Jesús Padilla Romero. C/ Casería del Cerro nº 64 Bloque 1- 4ºC. 18013 Granada